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. �u1-03�2002 1E.50p� Fro�-CITY OP ORONO +9622�94616 T-59Q P.002/QQ2 F-73Q <br /> h <br /> PEl�MI'C' �E,C�I.,�tiILATYC�N,�S) <br /> �402,St�� �tatute �,Y�s, This S��t�on A.pF#ies <br /> T�e replace;�t�n.t of a Re:�idential fixtc�re c�r a ' ce tb,at m�ets a11 th,�ee o�` tb.e �'ollawzng <br /> r�c�uireme�ts: <br /> 7,) Does nat r�quire rnotlifi�atiar� to �lear��Ga1 or gas serv�c�. <br /> 2) Has a o al ast o��SO�.QQ �r less; ex,��the co�Y Qf tM:� fxtux� or applianc�: <br /> and <br /> 3) Is irnproved, install�ed oz�repla�ed lay th� hom�avc�ner a.� lzcenc�d coz��a�tor. <br /> Skig nexx section; Cost af 1'ermzt $ _ l,� QO <br /> �t�t� Surck��rge � —�--�-r�� <br /> Ivlail I�Fee $ 1,5Q ,. <br /> If above dQ�s z�ot ap�Iy, �pllow guxdeli.zies �aelow: <br /> �. C�ntract Fr�+�e* is ,pX25 �Io oP job with � �ini�nunn T+�ee oP , �� 0 <br /> ......_.�. <br /> �. .Al2� $ <br /> (C4ntr:uti pri��) (rnanimtu�,�35.Q0) <br /> 2. State Surchar�e. '�� Adr� th� State �,uiIdin� Gc�de l]ivisic�n a (ri�infm� �'ee o�$ .54} <br /> x AQf�S � <br /> (contract price) (mir�imunt$ .SQ)� <br /> 3. Pr�sta�e anct Hand.��ns (Qnly zz�ai.l-� applicat�ons) � _ �,.SQ <br /> 4. '�(�TA�L PERM.��'�','�E (Add Ii�es 1�3 �.bov�) � <br /> * �aN7'I�ACT�ItIG�oz JQB CQST means tk��ae�ual ar estimated dallar amauzu charg�d fox the��rzzutted <br /> work i�eiudin�m�acarials,labar,pra�'ic,a.nd atkaer#ixe�costs. �t is the a�nount ca be c�ar�ed eo t�e custom.er <br /> fQr th.e work do;qe. �P az�.y materi�l, aquipmez��> labar, oz ir�atallation aca furnishe�by�t?ae nwner, tez�ank 4x <br /> auy other pa�y the reaso���Ie markee v�.lue of such it�ms mus;be added�o the estimatad casz ar contract <br /> price for permit fee purposes. In rh�event tf�at�here is a dispt�t�on the$z�dunt of rhe job aos�,che Ciry may <br /> requesL the sut�mission of a sign�d capy of the acma�contract. <br /> *�" Tha STATE SLTRCI�IARGB is .QODS af ttle conuaGc price�.uzder$k,(N?0,400 or $.S�J-whiChever is �reater. <br /> �or valuations over�1,OOO,QQO call the Dep�.rtment of Inspectzon Se�vices for she priee. <br /> The und�rsig�ecl hereby a�plies tQ the City for issuanc� of a FIumbing Pexrnit, agree� ta do a]I <br /> wark in strict ��cordanGe with th� ordinances Qf the Cit�r ��d the x�gulatioa�� �►f the �tat+� Q� <br /> Minnesota, ��i. Gerti�es that all 5tac�ria.ents made 4n this applicaciQ�a are ct►mpl.ex�, t�ru.e a�.d <br /> corr�ct. <br /> ( � ��- <br /> Applicant's Si,�na�uxe: �C�'���ifG�% -- - Date•/� /��d �, <br />